Healthcare Provider Details

I. General information

NPI: 1013525740
Provider Name (Legal Business Name): ELIZABETH FERBER LINDVIG DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S BRYN MAWR AVE
BRYN MAWR PA
19010-3143
US

IV. Provider business mailing address

45 BRAGG HILL ROAD
WEST CHESTER PA
19382
US

V. Phone/Fax

Practice location:
  • Phone: 484-337-3000
  • Fax:
Mailing address:
  • Phone: 610-764-3107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007090
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC007090
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: